TARIF MUSTAFA MD PC
NPI 1255522090
Internal Medicine in Dearborn, MI
About Tarif Mustafa Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARIF MUSTAFA MD PC (NPI 1255522090) is a healthcare organization registered as an internal medicine in Dearborn, Michigan and active in the NPI registry since August 2007. The organization lists Tarif Mustafa, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tarif Mustafa Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Tarif Mustafa MD PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Dearborn, MI 48126
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tarif Mustafa MD PC's NPI number?
The NPI number for Tarif Mustafa MD PC is 1255522090. It was assigned to this organization in the NPPES registry on August 7, 2007.
Where is Tarif Mustafa MD PC located?
Tarif Mustafa MD PC is located at 12940 W Warren Ave, Dearborn, MI 48126. The listed phone number is (313) 945-8210.
What is Tarif Mustafa MD PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Tarif Mustafa MD PC enrolled in Medicare?
Yes. Tarif Mustafa MD PC is registered in the Medicare PECOS enrollment system.
When is Tarif Mustafa MD PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tarif Mustafa MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Tarif Mustafa MD PC, in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tarif Mustafa MD PC accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Tarif Mustafa MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tarif Mustafa MD PC was last updated on October 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tarif Mustafa Md Pc · NPI 1255522090
Internal Medicine organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since August 7, 2007.
## Identity
- **NPI:** 1255522090 (Entity type: Organization)
- **Enumerated:** August 7, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Tarif Mustafa, MD
## Practice location
- **Address:** 12940 W WARREN AVE, Dearborn, MI 48126-1535
- **Phone:** (313) 945-8210
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1255522090) · Data from the CMS NPPES public registry.